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喉全切除术后由于咽部修复的破裂将导致咽-皮肤瘘,如患者术前曾行放射冶疗,则瘘的发病率更高。7年来作者用咽部X线照相追踪观察喉全切除术后6到7天咽粘膜的完整性,发现咽部有一完整修复线的患者可开始喝些清淡液体,进而在1到2天内进食,若能吞咽则2到3天后可开始练习讲话。如发现有窦道存在,可再继续用鼻胃管进食5到7天,然后重行X线照相。如高位咽部有很小的线状窦道,只要吞咽时在低
After total laryngectomy, the rupture of the pharynx will lead to pharynx-skin spasm. If the patient has undergone radiotherapy before surgery, the incidence of sputum is higher. In the past 7 years, the author used a pharyngeal radiography to observe the integrity of the pharyngeal mucosa 6 to 7 days after total laryngectomy. The patient with a complete repair line in the pharyngeal can start to drink light fluids and then eat within 1 to 2 days. If you can swallow, you can begin to practice speaking after 2 to 3 days. If a sinus tract is found, the nasogastric tube can be used again for 5 to 7 days before re-radiography. If there is a small linear sinus in the high pharyngeal area, as long as swallowing is low